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� �7y <br /> ELECTRICAL PERMIT APPLICATION <br /> /111.e.,/sF-A <br /> y. . CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 1 (E)everettepss everettwa.gov i www.everettwa.gov/permits <br /> fort— ...� -`�' ��.-~ �..�.. -x. .--yy _. --` l.'ter!.�r-1--'-.4-._... <br /> •-.a -. ..t�"Wit_"-- �,t" * Y�i.f+l. O �_"EL t-�t ��a �.*-r,_ t ''C..'�, �• .n.:%il� � <br /> PROJECT ADDRESS: 701 75th St SE APT#213 <br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: Apartment Building <br /> I aarali le - WII .Oi l _ -1'F:MO ., l <br /> —��' •—na- i.�� �'-n.� 'Fii. �cY+f '�r ._.� ' .i...i_waJ-� s-F+r <br /> CONTRACT PRICE OF WORK:$ 900.00 <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? ❑YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: Replace old panel with new 125a ML panel <br /> ��- -' �__ � �;� `--,._ — - CONTAG�T IPi�OR�VI.�►`T�O�1 : �, � -.� ---<-- ti��= <br /> OWNER NAME:Williams Investment TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 19801 50th Ave W <br /> cm Lynnwood STATE WA MP 98036 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: Rhema Electric <br /> CONTRACTOR ADDRESS: STREET628 S Spruce St. <br /> criy Burlington STATE WA MP 98233 <br /> CONTRACTOR PHONE:360416-8227 CONTRACTOR EMAIL: daveb@rhemaelectric.com <br /> CONTRACTOR LIC.#(REQUIRED): #RHEMAEL940DH CITY OF EVERETT BUSINESS LIC.#(REQUIRED):45783 <br /> PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 360-630-0164 <br /> Dave Buben CONTACT EMAIL:daveb@rhemaelectric.com <br /> AGREEMENT:t hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type <br /> of work will be completed whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or <br /> local law regulating construction or the performance of construction. That l am authorized by the owner of this property to perform the work for which application is made and I <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> ' PERMIT# <br /> q11311 / <br /> Owner/Authorized Agent Signature Date (Revised 9/23/2016) <br />